Canadian Journal of Neurological Sciences最新文献_第7页

Nitrous Oxide-Induced Myelopathy Mimicking Longitudinally Extensive Transverse Myelitis. 模仿纵向扩展横贯性脊髓炎的一氧化二氮诱发脊髓病变

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-04-02 DOI: 10.1017/cjn.2024.50

Chia-Chen Tsai, Tychicus Chen

引用次数: 0

Progressive Thrombosis of a Dolicho-Basilar Artery and Fusiform Aneurysm Resulting in Diffuse Ischemic and Hemorrhagic Complications. 多立霍-基底动脉和纺锤形动脉瘤的进行性血栓形成导致弥漫性缺血和出血并发症。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-04-04 DOI: 10.1017/cjn.2024.51

Vincent Brissette, Marina Saad, Devavrat Nene, Christine Van Winssen, Ange Boubacar Diouf, Marlise P Dos Santos, Robert Fahed, Célina Ducroux

引用次数: 0

Career Outcomes Among Neurosurgery Resident Graduates in Canada: An Update. 加拿大神经外科住院医师毕业生的职业前景：更新。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI: 10.1017/cjn.2024.44

Lior M Elkaim, Farbod Niazi, Michael K Tso

{"title":"Career Outcomes Among Neurosurgery Resident Graduates in Canada: An Update.","authors":"Lior M Elkaim, Farbod Niazi, Michael K Tso","doi":"10.1017/cjn.2024.44","DOIUrl":"10.1017/cjn.2024.44","url":null,"abstract":"Background: Many Royal College of Physicians and Surgeons of Canada (RCPSC) graduates in neurosurgery face significant challenges in finding full-time employment. The current study describes the career outcomes of neurosurgery residents from Canadian programs.Methods: All RCPSC neurosurgery graduates (n = 106) who completed their residency between 2015 and 2020 were included in this study. Baseline characteristics were determined for the entire cohort and then stratified by employment status. Several logistic regression models were used to identify predictors of full-time employment after residency.Results: Overall, 26.4% of neurosurgery graduates from 2015 to 2020 have been underemployed, defined as locum and clinical associate positions (6.6%), the pursuit of multiple fellowships (16%) and career change/nonsurgical career (3.8%). Only 52.0% of graduates were fully employed in Canada, with 30.2% appointed at academic institutions. Skull-base/open vascular (OR: 0.055, 95%CI [<0.01, 0.74]) and general neurosurgery (OR: 0.027, 95% CI [<0.01, 0.61]) fellowships were associated with underemployment. Advanced research degrees (master's or Ph.D.) and sex were not associated with full-time employment.Conclusions: Over one-quarter of recent Canadian neurosurgery graduates were underemployed, and nearly half do not find employment in Canada. These results reflect a concerning reality for current and prospective neurosurgery graduates in Canada and will hopefully serve as a call to action for the Canadian neurosurgery community.","PeriodicalId":56134,"journal":{"name":"Canadian Journal of Neurological Sciences","volume":" ","pages":"95-101"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying a Stepped-Care Framework for Functional Neurological Disorder Management. 将阶梯式护理框架应用于功能性神经紊乱管理。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-03-01 DOI: 10.1017/cjn.2024.32

Monica Taing, Travis Sztainert, Micaela Harley, Kristy Allen, Fraser Moore

引用次数: 0

Validation of the Passive Surveillance Stroke Severity Score in Three Canadian Provinces. 在加拿大三个省份验证被动监测脑卒中严重程度评分。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-03-06 DOI: 10.1017/cjn.2024.36

Amy Y X Yu, Peter C Austin, Alison L Park, Jiming Fang, Michael D Hill, Noreen Kamal, Thalia S Field, Raed A Joundi, Sandra Peterson, Yinshan Zhao, Moira K Kapral

{"title":"Validation of the Passive Surveillance Stroke Severity Score in Three Canadian Provinces.","authors":"Amy Y X Yu, Peter C Austin, Alison L Park, Jiming Fang, Michael D Hill, Noreen Kamal, Thalia S Field, Raed A Joundi, Sandra Peterson, Yinshan Zhao, Moira K Kapral","doi":"10.1017/cjn.2024.36","DOIUrl":"10.1017/cjn.2024.36","url":null,"abstract":"Background: Stroke outcomes research requires risk-adjustment for stroke severity, but this measure is often unavailable. The Passive Surveillance Stroke SeVerity (PaSSV) score is an administrative data-based stroke severity measure that was developed in Ontario, Canada. We assessed the geographical and temporal external validity of PaSSV in British Columbia (BC), Nova Scotia (NS) and Ontario, Canada.Methods: We used linked administrative data in each province to identify adult patients with ischemic stroke or intracerebral hemorrhage between 2014-2019 and calculated their PaSSV score. We used Cox proportional hazards models to evaluate the association between the PaSSV score and the hazard of death over 30 days and the cause-specific hazard of admission to long-term care over 365 days. We assessed the models' discriminative values using Uno's c-statistic, comparing models with versus without PaSSV.Results: We included 86,142 patients (n = 18,387 in BC, n = 65,082 in Ontario, n = 2,673 in NS). The mean and median PaSSV were similar across provinces. A higher PaSSV score, representing lower stroke severity, was associated with a lower hazard of death (hazard ratio and 95% confidence intervals 0.70 [0.68, 0.71] in BC, 0.69 [0.68, 0.69] in Ontario, 0.72 [0.68, 0.75] in NS) and admission to long-term care (0.77 [0.76, 0.79] in BC, 0.84 [0.83, 0.85] in Ontario, 0.86 [0.79, 0.93] in NS). Including PaSSV in the multivariable models increased the c-statistics compared to models without this variable.Conclusion: PaSSV has geographical and temporal validity, making it useful for risk-adjustment in stroke outcomes research, including in multi-jurisdiction analyses.","PeriodicalId":56134,"journal":{"name":"Canadian Journal of Neurological Sciences","volume":" ","pages":"53-58"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140041043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Idiopathic Extracranial Internal Carotid Artery Vasospasm. 特发性颅外颈内动脉血管痉挛。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-02-12 DOI: 10.1017/cjn.2024.20

Aaron de Souza, Stuart Walker

引用次数: 0

Hyponatremia in Guillain-Barre Syndrome: A Review of Its Pathophysiology and Management. 吉兰巴雷综合征中的低钠血症：病理生理学和处理方法综述。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-02-16 DOI: 10.1017/cjn.2024.27

Archana B Netto, Niveditha Chandrahasa, Sheril S Koshy, Arun B Taly

{"title":"Hyponatremia in Guillain-Barre Syndrome: A Review of Its Pathophysiology and Management.","authors":"Archana B Netto, Niveditha Chandrahasa, Sheril S Koshy, Arun B Taly","doi":"10.1017/cjn.2024.27","DOIUrl":"10.1017/cjn.2024.27","url":null,"abstract":"Guillain-Barre syndrome (GBS) is the commonest cause of acute polyradiculoneuropathy that requires hospitalization. Many of these patients experience systemic and disease-related complications during its course. Notable among them is hyponatremia. Though recognized for decades, the precise incidence, prevalence, and mechanism of hyponatremia in GBS are not well known. Hyponatremia in GBS patients is associated with more severe in-hospital disease course, prolonged hospitalization, higher mortality, increased costs, and a greater number of other complications in the hospital and worse functional status at 6 months and at 1 year. Though there are several reports of low sodium associated with GBS, many have not included the exact temporal relationship of sodium or its serial values during GBS thereby underestimating the exact incidence, prevalence, and magnitude of the problem. Early detection, close monitoring, and better understanding of the pathophysiology of hyponatremia have therapeutic implications. We review the complexities of the relationship between hyponatremia and GBS with regard to its pathophysiology and treatment.","PeriodicalId":56134,"journal":{"name":"Canadian Journal of Neurological Sciences","volume":" ","pages":"9-19"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Current State of Epilepsy Care in the Province of Ontario. 评估安大略省癫痫护理现状。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-03-01 DOI: 10.1017/cjn.2024.30

Christine Van Winssen, Andrea V Andrade, Danielle M Andrade, Jorge G Burneo, Sandrine de Ribaupierre, Elizabeth Donner, Ayman Hassan, George Ibrahim, Kevin C Jones, Lysa Boissé Lomax, Katherine Muir, Maryam N Nouri, Nikki Porter, Rajesh Ramachandrannair, Paul Raymond, James Rutka, Michelle J Shapiro, David A Steven, Darryl Swain, Taufik Valiante, Sharon Whiting, Robyn Whitney, Ivanna Yau, Tadeu A Fantaneanu

引用次数: 0

Survey of Canadian Physician Use of Botulinum Toxin A (BoNT-A) for Paratonia: Real World Insights. 加拿大医生使用肉毒杆菌毒素-A（BoNT-A）治疗瘫痪的调查：真实世界的洞察力。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-04-01 DOI: 10.1017/cjn.2024.46

Galit Kleiner, Farooq Ismail, Omar Khan, Christopher Pilieci, Linda Truong, Chris Boulias

引用次数: 0

Translation of the Preference-Based Amyotrophic Lateral Sclerosis Scale into French. 将基于偏好的肌萎缩侧索硬化症量表翻译成法文。

IF 2.9 4区医学

Canadian Journal of Neurological Sciences Pub Date : 2025-01-01 Epub Date: 2024-02-20 DOI: 10.1017/cjn.2024.18

Ava Mehdipour, Lizabeth Teshler, Vanina Dal Bello-Haas, Vanessa Bouchard, Ayse Kuspinar

引用次数: 0